Predictive value of amniotic fluid volume measurements on perinatal outcome.
Amniotic fluid volumes were measured in 1,659 pregnant women to determine the predictive value of these measurements on perinatal outcome. All cases were evaluated by other tests of fetal well-being. 128 cases were oligohydramniotic, and 1,531 cases were normal. In all cases, several parameters were assayed, e.g. fetal distress, way of delivery, meconium in amniotic fluid, Apgar score, transfer to pediatric clinics and early-late neonatal complications. The results of the perinatal evaluation of oligohydramnios were as follows: assessing fetal distress: specificity 94.2%, sensitivity 18.4%, positive predictive value 35.9%, negative predictive value 86.7% and accuracy 82.8%, and assessing low Apgar score the values were 93.0, 21.3, 95.9 and 89.5%, respectively. As a result, measurement of the amniotic fluid volume is an important parameter predicting perinatal outcome, and its predictive value increases if it is combined with other fetal well-being tests with different end points.
Ergün
A
A
Department of Obstetrics and Gynecology, Gülhane School of Medicine, Ankara, Turkey.
Atay
V
V
Pabuçcu
R
R
Başer
I
I
Duru
N K
NK
Tokaç
G
G
D000293:Adolescent; D000328:Adult; D000653:Amniotic Fluid / Q000737:chemistry / Q000502:physiology*; D001034:Apgar Score; D015331:Cohort Studies; D036861:Delivery, Obstetric / Q000379:methods; D005260:Female; D005316:Fetal Distress; D005500:Follow-Up Studies; D006801:Humans; D007751:Labor, Induced; D008470:Meconium / Q000378:metabolism; D008875:Middle Aged; D016104:Oligohydramnios / Q000175:diagnosis / Q000628:therapy; D011237:Predictive Value of Tests; D011247:Pregnancy; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third